Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $60.38 / $80.42	Facility		$51.33	$60.38	$80.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $71.15 / $130.90	Professional		$47.90	$71.15	$130.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $78.36 / $78.36	Professional		$78.36	$78.36	$78.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $82.17 / $82.17 / $82.17	Facility		$82.17	$82.17	$82.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $86.28 / $110.93	Professional		$78.06	$86.28	$110.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.97 / $66.42 / $77.95	Facility		$51.97	$66.42	$77.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $72.11 / $90.16 / $140.47	Professional		$72.11	$90.16	$140.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.70 / $86.46 / $146.35	Professional		$54.70	$86.46	$146.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.33 / $87.76 / $101.14	Facility		$51.33	$87.76	$101.14
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $80.42 / $119.21	Professional		$51.33	$80.42	$119.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.71 / $71.56 / $100.00	Professional		$47.71	$71.56	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.68 / $99.62 / $123.93	Professional		$80.68	$99.62	$123.93